- Molina Healthcare (Buffalo, NY)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Buffalo, NY)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction. + Serves as the subject… more
- Molina Healthcare (Buffalo, NY)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment ... and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment… more
- Molina Healthcare (Buffalo, NY)
- …governance framework and decision-making processes, as needed. + At the direction of program (CoE, Shared Service or other functional area) leadership, supports ... or a similar field). + Relevant work experience in healthcare compliance program operations and risk management;...experience. + Managed Care experience, preferably in a shared service , CoE or matrixed environment. + Experience with Microsoft… more
- Molina Healthcare (Buffalo, NY)
- …behavioral healthcare , substance use, and knowledge of available BH services /resources and community support for adults are highly preferred. Further details to ... and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** * Certified Case Manager … more
- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/care coordination activities and collaborates with multidisciplinary team ... member care. This position will be supporting our Complex Pediatric Care Management program . The ideal candidate will bring expertise in pediatric conditions such as… more
- Molina Healthcare (Buffalo, NY)
- …and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** * Certified Case Manager ... JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/care coordination activities...position will be supporting our Behavioral Health Care Management program . The ideal candidate will bring expertise in behavioral… more
- Spectrum Health and Human Services (Orchard Park, NY)
- …readiness, and corrective action planning across a multi- program human services organization. The Compliance Manager works collaboratively with clinical, ... SKILLS/COMPETENCIES: + Working knowledge of healthcare and human services regulatory frameworks, including compliance program elements. + Experience… more
- OLV Human Services (Amherst, NY)
- …integral part of the treatment team who monitors and coordinates the delivery of healthcare services for individuals who are living in community based homes. ... in the lives of individuals with developmental disabilities? Join our team at OLV Human Services as an RN Case Manager and play a critical role in supporting… more
- Walgreens (Tonawanda, NY)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Medtronic (Buffalo, NY)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... your talents to a leader in medical technology and healthcare solutions. Rooted in our long history of mission-driven...for a career that changes lives. The Specialty Territory Manager is responsible for sales planning and execution, providing… more
- Bridgestone Americas (Hamburg, NY)
- …equivalent. + 4 years of auto service technical experience. + 1 year of service manager or service writer experience. + Problem solving - customer ... locations across North America and more than $4.5 billion in tire and auto service sales, Bridgestone Retail Operations is the right place to build a career.… more
- Compass Group, North America (Williamsville, NY)
- … industry. Crothall serves many of the Top 100 Hospitals throughout its over 1300 healthcare service teams in 46 states. Crothall has been recognized as one of ... we have more than 26,000 team members. Our core services include: Environmental Services , Healthcare ...Cleaning, Medical and Solid Waste, Document Destruction, and Recycling program ) **Qualifications:** + 4 years of support services… more
- GE HealthCare (Buffalo, NY)
- …At GE HealthCare , our machines, our software, our solutions, our services , and our people make a genuine difference to medical professionals and patients ... world. That's because we never lose sight of what healthcare really needs-the human touch. In this role, the...Field Engineer Apprentice will observe and perform various equipment service processes and procedures to drive customer satisfaction and… more
- Medtronic (Buffalo, NY)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... committed to ongoing breakthrough developments in leading-edge technology, unrivaled service and support, and uncompromising leadership. From advanced energy-based… more
- Molina Healthcare (Buffalo, NY)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Molina Healthcare (Buffalo, NY)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Elderwood (Buffalo, NY)
- …Overview Elderwood Independent Practice Association (IPA) is seeking a Social Worker Care Manager who has their MSW to join our incredible growing team of ... vested employer match up to 4% + Substantial Referral program Join Our Team Are you looking to take...Responsibilities In the role of an Social Work Care Manager , you will partner with the Registered Nurse and… more
- Molina Healthcare (Buffalo, NY)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Highmark Health (Buffalo, NY)
- …group of internal exempt and/or matrixed employees and contractors that serve on the program (s) to deliver solutions for the business. **This is a hybrid based role ... **This role is focused on the Medicare Advantage Stars program . This right candidate for this role will have...**Required** + 4 years of experience in a project manager role **Preferred** + PMP certification or equivalent training… more